Myofibrillar protein synthesis rates are increased in chronically exercised skeletal muscle despite decreased anabolic signaling

The molecular responses to acute resistance exercise are well characterized. However, how cellular signals change over time to modulate chronic adaptations to more prolonged exercise training is less well understood. We investigated anabolic signaling and muscle protein synthesis rates at several time points after acute and chronic eccentric loading. Adult rat tibialis anterior muscle was stimulated for six sets of ten repetitions, and the muscle was collected at 0 h, 6 h, 18 h and 48 h. In the last group of animals, 48 h after the first exercise bout a second bout was conducted, and the muscle was collected 6 h later (54 h total). In a second experiment, rats were exposed to four exercise sessions over the course of 2 weeks. Anabolic signaling increased robustly 6 h after the first bout returning to baseline between 18 and 48 h. Interestingly, 6 h after the second bout mTORC1 activity was significantly lower than following the first bout. In the chronically exercised rats, we found baseline anabolic signaling was decreased, whereas myofibrillar protein synthesis (MPS) was substantially increased, 48 h after the last bout of exercise. The increase in MPS occurred in the absence of changes to muscle fiber size or mass. In conclusion, we find that anabolic signaling is already diminished after the second bout of acute resistance type exercise. Further, chronic exposure to resistance type exercise training results in decreased basal anabolic signaling but increased overall MPS rates.


Methods
Animals and stimulation. We conducted two sets of experiments. The first consisted of the stimulation of 5 groups of 10 months old, male Fischer 344-Brown Norway rats (each n = 5-6) through ten sets of 6 eccentric contractions of the tibialis anterior (TA) at 4-8 V and 100 Hz as described previously 3 . The TA was collected immediately before stimulation or at 6 h, 18 h and 48 h after stimulation. A subset of these samples has been analyzed and published previously 14 . In the fifth group, the animals were stimulated a second time at 48 h and collected 6 h later (i.e., at 54 h). In the second experiment, we stimulated 7-month-old, male Sprague-Dawley (n = 4) with the same parameters outlined above four times over the course of two weeks.To avoid any potential interference of the last stimulation bout with our subsequent analysis of muscle mass (e.g. exercise-induced edema), the TA was collected 48 h after the last bout when the animals were in a fasted state. To facilitate the repeated stimulations, an electrode wire was implanted onto the sciatic nerve above its point of trifurcation running to the back of the neck of the rats 3 . All stimulations and muscle collections were conducted under isoflurane anesthesia (2-3%). Animals were sacrificed by cervical dislocation (first experiment) or cardiac puncture (second experiment). Animals on the second experiment were fed a diet of 20 g chow (ssniff Spezialdiäten GmbH, Soest, Germany) equivalent to 79 kcal day −1 to slow weight gain in rats on an ad libitum diet. Experiments were approved and carried out according to the guidelines of the University of California Davis Animal Care and Use Committee (IACUC) (USA) and the Landesamt für Gesundheit und Soziales (LaGeSo) in Berlin (Germany). All animal experiments were in compliance with the ARRIVE guidelines.
Western blot analysis. Aliquots of frozen powdered tibialis anterior muscles were homogenized in 200 µL sucrose lysis buffer (SLB; 50 mM Tris pH 7.5, 250 mM sucrose, 1 mM EDTA, 1 mM EGTA, 1% Triton X-100, 1% protease inhibitor complex) on a vortexer for 60 min at 4 °C. Following centrifugation at 10,000g for 10 min, the supernatant was collected. Protein concentrations were determined in triplicates using the DC protein assay (Bio-Rad, Hercules, CA, USA). Sample concentrations were adjusted using SLB. Following dilution in Laemmli sample buffer, 1 µg protein/µL were denatured at 100 °C for 5 min. Protein (10-15 µg protein per lane) was loaded on 4-20% Criterion TGX Stain-free gels (Bio-Rad), run for 45 min at 200 V and visualized after a UV-induced 1-min reaction to produce fluorescence. Following quantification, proteins were transferred to nitrocellulose or polyvinylidene difluoride (PVDF) membrane at 100 V for 30-60 min, depending on the size of the protein of interest. Efficient transfer was confirmed using Ponceau staining of the membrane. Membranes were then air dried and directly incubated with the primary antibody or washed and blocked in 1% fish skin gelatin dissolved in Tris-buffered saline with 0.1% Tween-20 (TBST) for 1 h. To allow for the probing of multiple antibodies, the membrane was cut above and below the appropriate molecular weight of the protein of interest prior to incubation with the antibody overnight at 4 °C. The next day, membranes were washed and incubated with HRP-conjugated secondary antibodies at 1:5000 (goat) to 1:10,000 (mouse, rabbit) in 1% skim milk-TBST for 1 h at room temperature. Immobilon Western Chemiluminescent HRP substrate (Millipore, Hayward, CA, USA) was then applied to the membranes for protein visualization by chemiluminescence. Image acquisition and band quantification was performed using the ChemiDoc MP System and Image Lab 5.0 software (Bio-Rad). Protein levels of each sample were calculated as band intensities relative to total protein as described SUnSET measurement of protein synthesis. Global muscle protein synthesis after acute exercise was assessed using the SUrface SEnsing of Translation (SUnSET) method as described previously 16 . Puromycin was dissolved in sterile saline (0.9% NaCl) and delivered via i.p. injection (0.02 μmol puromycin × g -1 body weight) 30 min prior to muscle collection. Puromycin-truncated peptides, reflecting the rate of global muscle protein synthesis, were analyzed by western blot as described above.
Histological analysis. The blocked TA was cut into sections using a Leica CM3050 S cryostat (Leica Microsystems, Germany) and Gomori trichrome stainings were performed as described previously 17 . Images were collected using the Leica DMI6000 and digital images were processed using the Leica LAS AF software.
Deuterium oxide labeling. We used a labeling protocol suitable to detect deuterium ( 2 H) enrichments in alanine of the myofibrillar protein fraction of skeletal muscle via GC-MS similar to what has been published previously 18,19 . Briefly, 2 weeks after surgery the animals received an intraperitoneal injection of 0.014 mL g −1 bodyweight of D2O (99.8% + Atom D, Euriso-Top GmbH Saarbrücken) and 0.9% NaCl. This injection primed the animals and enriched their body water levels to approximately 2.5% D2O. To maintain the label concentration, the rats received drinking water with 4% D2O enrichment for 14 days prior to collection.

Myofibrillar protein extraction.
Myofibrillar protein isolation was performed as described previously 20 .
Briefly, 80-120 mg muscle sample of rat TA (n = 4) was weighed into an Eppendorf tube and stored on ice. A standard buffer solution was added to each sample at 10 μL mg −1 and the muscle tissue was thoroughly homogenized. Scissors were used to mince the tissue before subsequent homogenization by plastic pestles. To fractionate a pellet rich in myofibrillar-and other structural proteins, the sample was spun at 700g for 10 min at 4 °C. The remaining pellet was washed twice with buffer and dH2O, the supernatant was discarded and 1 mL 0.3 NaOH was added to the pellet to further solubilize the myofibrillar proteins and isolate them from collagen. The samples were heated at 50 °C for 30 min. Subsequently the sample was spun at 10,000g for 5 min at 4 °C and the supernatant containing the myofibrillar protein was transferred into 4 mL screw-cap glass vials. One milliliter of 1 M PCA was added to each glass vial to precipitate the myofibrillar proteins. After centrifugation, the supernatant was removed, and the pellet washed twice with 500 μL 70% EtOH. After removal of the EtOH, 1.5 mL of 6 M HCL was added to hydrolyze the samples over night at 110 °C. The next day the samples were put in a heating block (120 °C) and dried under a nitrogen steam. To further purify the amino acids, the samples were passed through Dowex exchange resin (AG 50 W-X8 Resin, Bio-Rad) prior to derivatization. After purification, the glass vials were carefully vortexed and put under a nitrogen steam to dry before derivatization. Samples containing the free amino acids of the myofibrillar protein fraction were then converted to their tert-butyldimethylsilyl (TBDMS) derivatives via the addition of 50 μL of N-tert-Butyldimethylsilyl-N-methyltrifluoroacetamide (MTB-STFA) and 50 μL of acetonitrile to the sample. Each sample was then incubated for 1 h at 70 °C. The sample was then transferred to 2 mL screwcap chromacol vials (Thermo Fisher Scientific, Schwerte, Germany) suitable for GC-MS injection.

Plasma protein extraction.
To precipitate plasma protein, 40 μL perchloric acid (20%) were added to 360 μL plasma sample. After vortexing, free amino acids were separated from protein bound amino acids by centrifugation (3500 rpm, 20 min, 4 °C). The pellet was collected and washed three times with 1 mL perchloric acid (2%) before being hydrolyzed over night as described above. After hydrolysis, samples were purified and processed for GC-MS injection as described above. Values of unlabeled samples were used as a baseline control for 2 H enrichment in plasma protein bound alanine.
Free alanine enrichments in plasma. Plasma samples were thawed on ice and dry 5-sulfosalicylic acid was added to the sample to deproteinize it as described previously 21 . After vortexing, the sample was spun at 1000g for 15 min. The supernatant was collected and then purified, processed, and measured on the GC-MS as described in the sections above.
Gas chromatography-mass spectrometry. The alanine enrichment was determined by electron ionization gas chromatography-mass spectrometry (GC-MS; Agilent 6890N GC/5973N MSD) using selected ion monitoring of masses 232, 233, 234, 235, and 236 for their unlabeled and labeled 2 H-alanine. We applied standard regression curves to assess linearity of the mass spectrometer and to control for the loss of tracer.
Calculations. Myofibrillar protein synthesis rates were calculated using the precursor-product method 22 Statistics. Depending on the number of the groups compared, an unpaired t-test or a two-way analysis of variance (ANOVA) with a post hoc Tukey's multiple comparisons test was used to test the null hypothesis. An alpha of P < 0.05 was deemed statistically significant, and a P value between 0.05 and 0.1 was deemed a trend. Data in the text are reported as mean ± standard deviation, and data in the figures are visually represented as mean ± standard deviation of the mean, scatter dot plot with error bars indicating standard deviation, or box with whiskers where the whiskers indicate the minimal to maximal values, the line indicates the median and the box the 25th to 75th percentile of all values. All analysis was performed with GraphPad Prism Version 8 (La Jolla, CA, USA). All data from our experiments is available in the figures.

Results
The effect of a repeated bout of eccentric contractions on anabolic signaling. Signaling through the mTORC1 axis was activated significantly following the first acute bout of eccentric contractions. Phosphorylated S6K1 (Thr389) levels increased 26-fold at 6 h (p < 0.01) and decreased back to 11-fold and less than twofold at 18 h and 48 h, respectively (Fig. 1B). The second bout of eccentric contractions at 48 h did not significantly increase p-S6K1 levels 6 h later, at 54 h total time (p > 0.99). Similarly, phosphorylation of S6K1's downstream target S6 (Ser240/244) increased fivefold at 6 h following eccentric contractions (p < 0.0001), declined back to twofold at 18 h and stayed at about twofold higher at 48 h (Fig. 1D). The second bout did not increase p-S6 levels 6 h after the second bout, at 54 h total time (p = 0.94). At 6 h after eccentric contractions, phospho- www.nature.com/scientificreports/ rylation of translation elongation factor (eEF)2 (Thr56) decreased to about 70% of the control value (p < 0.05) (Fig. 1C). Phosphorylation stayed depressed (73% at 18 h) rising back to baseline at 48 h. Phosphorylation of eEF2 decreased about 18% 6 h after the second bout without reaching statistical significance (p = 0.55). Finally, protein synthesis as assessed via puromycin increased by about 36% at 6 h after the first bout without reaching significance (p = 0.16) (Fig. 1A). Protein levels decreased back to about 18% above baseline at 18 h and stayed around this level at 48 h. The second bout at 48 h did not significantly increase global protein synthesis at 54 h, with puromycin levels staying 21% above baseline levels compared to 0 h. Data points between 0-48 h have been part of a previous publication by our laboratory 14 .
Chronic exposure to eccentric contractions reduces basal mTORC1 signaling. In the chronic experiment, 48 h after the last bout many signals that were elevated after an acute bout of exercise were downregulated in the repeatedly stimulated leg. Phosphorylated S6K1 (Thr389) decreased 50% in the stimulated compared to the control leg (p < 0.05) (Fig. 2C). Similarly, its downstream target phosphorylated S6 (Ser240/244) was decreased ~ 75% in the stimulated compared to the control leg (p < 0.05) (Fig. 2D). Additionally, there was a trend for a decrease in phosphorylated 4E-BP1 (Thr37/46) in the stimulated leg (p = 0.1) (Fig. 2E). Simultaneously, upstream of growth factor activation of mTORC1, IRS1 levels tended to increase to 2.7-fold in the stimulated leg compared to the control leg (p = 0.06) ( Fig. 2A). Similarly, total Akt levels were increased by 59% in the stimulated compared to the control leg (p < 0.05) (Fig. 2B). Finally, mLIM protein levels were increased to about threefold in the stimulated compared to the control leg (p < 0.01) at rest (Fig. 2F). Representative pictures of the blots are displayed in Fig. 2G.
No changes to myofiber size, muscle mass or body weight following chronic exercise. We performed histological assessment of the TA using a standard Gomori trichrome staining. We found no obvious changes in myofiber size, central nuclei, connective tissue accumulation, denervation, or regenerating fibers with chronic exercise (Fig. 3A). In line with this, mass of the TA was unchanged between the control leg (0.97 ± 0.1 g) and the exercised leg (0.97 ± 0.1 g) (p = 0.99) (Fig. 3B). We limited food access throughout the intervention to keep the body weight of the animals stable; as a result, no significant increase in body weight was observed (Fig. 3C).

Chronic eccentric contractions increase myofibrillar protein synthesis.
We measured the incorporation of deuterium labelled alanine from the circulation into the myofibrillar fraction of the TA over the course of two weeks. The enrichment of 2 H-ala label in the protein bound myofibrillar fraction of the TA increased from 2.8 (± 0.4) mole percent excess (MPE) in the control leg to 3.8 (± 0.3) MPE in the chronically exercised leg (p < 0.05) (Fig. 4A). Similarly, myofibrillar protein synthesis rates in the control leg were 2.6% per day (± 0.3%) but about 38% higher in the chronically exercised leg (3.3 ± 0.3% per day) (Fig. 4B) in good agreement with the acute change in protein synthesis measured by SuNSET (Fig. 1).

Discussion
This study addressed the complex relationship between molecular signaling, muscle protein synthesis and morphological adaptations by examining changes from an acute bout of eccentric contractions to a second bout and finally an early chronic setting of repeated bouts over multiple weeks. We found that an acute resistance-type exercise stimulus is associated with a robust increase in anabolic signaling and protein synthesis in the hours after exercise; however, this signal is significantly dampened after a second bout. The decrease in molecular signaling with repeated stimuli became even more pronounced at rest after two weeks of eccentric contractions, decreasing below control for p-S6K1 (Thr389) and p-rpS6 (Ser240/244). Interestingly, despite the decrease in baseline anabolic signaling, myofibrillar protein synthesis was substantially higher in the stimulated leg. Despite the increase in myofibrillar protein synthesis, a training induced increase in myofiber size or muscle mass was not observed after two weeks of training. These data highlight the non-linear relationship between acute anabolic signaling, muscle protein turnover and the long-term adaption of muscle hypertrophy. Classically, the response to resistance type exercise is characterized as an increase in anabolic signaling that results in upregulated synthesis of contractile proteins and eventually muscle fiber hypertrophy 3 . However, even though these experiments identified an association between the acute activation of the mTORC1 signaling pathway and long-term muscle growth, the extent to which there was a causal relationship between the acute signal (i.e., from a first exercise bout) and chronic adaptations is unclear. The strength of this study was to fill in some of the gaps in our understanding between the acute molecular signaling following a first (untrained) exercise bout, that was immediately followed by an analysis of the molecular signature of a second bout, before investigating chronic changes to protein turnover. Previous studies have commonly directly compared acute and chronic adaptations to exercise, without investigating how rapidly after a first bout these changes might already occur.
A first bout of resistance type exercise, and specifically eccentric contractions, is known to cause substantial muscle damage that results in delayed onset muscle soreness, inflammation and swelling of the tissue 24,25 . This extreme response becomes less pronounced with every following stimulus and the tissue appears largely protected from excessive damage once acclimated to the training. This process of rapid adaptation is called the repeated bout effect 26 . Therefore, it stands to reason that part of the molecular signature of a first exercise bout might not be due to mechanotransduction signals that causally relate to contractile protein accrual, but rather the response to acute muscle damage.
Recent data supports this idea of an amplified "anabolic response" due to muscle damage. Mitchell and colleagues found that acute rates of myofibrillar protein synthesis are a poor predictor of long-term muscle growth with resistance type exercise 11  www.nature.com/scientificreports/ long-term growth after a first bout, the change in protein synthesis rates following acclimatization to the resistance type exercise program correlate well with muscle growth at the end of the program 13 . Indeed, they found that the early amplification of myofibrillar protein synthesis was directly associated with structural muscle damage, whereas the correlation between protein synthesis and growth after acclimatization was unrelated to muscle damage. This suggests that mTORC1 activity and increased muscle protein synthesis rates after a first bout largely reflect an adaptive response to exercise and muscle remodeling, rather than muscle growth per se.
In both kinase-dependent and independent manners, mTORC1 is required for muscle repair following injury 27 , suggesting that the acute mTORC1 time course response could be biased by the inflammatory response, or other damage response mechanisms, to unaccustomed exercise. Consistent with this hypothesis, Trappe  29 and muscle cell growth 30 , and regulate muscle regeneration 31 . Broadening this hypothesis, recent studies found that canonical anabolic signaling pathways and myofibrillar protein synthesis can be increased in situations of severe muscle damage or atrophy, where a concomitant increase in proteolysis outpaces anabolism resulting in atrophy [32][33][34][35][36][37] . Our finding that chronic exposure to resistance type exercise results in a decrease in anabolic signaling is supported by a clinical trial from Phillips and colleagues, in which the authors observed a genetic signature consistent with mTORC1 inhibition that was correlated with gains in muscle mass over 20 weeks of resistance type exercise 10 . This is in line with data on the protein level from Ogasawara et al. in rats, who found that 12 bouts of resistance type exercise led to a decrease in S6K1 activity which could be reestablished through a 12-day break before the 13th bout 5,38 . Similar to our second experiment, Glynn et al. found that physically active rats had reduced baseline S6K1 (Thr389) levels compared to sedentary controls 39 . Multiple clinical trials in humans found that in chronically trained muscle, anabolic signaling through mTORC1 after exercise becomes less pronounced [40][41][42][43][44] while MPS still increases, albeit in a dampened or shortened manner [45][46][47][48] . In our animal model, we found a robust increase in integrated MPS over the two-week course of stimulation. A possible explanation for why MPS is relatively robustly increased in our chronic rat model compared to the clinical trial data in chronically exercised humans is that we measured MPS over the entire two-week intervention period. In other words, MPS in our experiment is an average of the acute response to exercise, likely including a damageinduced amplification of MPS, as well as the response to later stimulation bouts which is likely to be attenuated. An additional explanation along the same line is that while the acute response of MPS to exercise is usually www.nature.com/scientificreports/ decreased in the trained state, basal MPS has been found to be increased 49 . Therefore, since our measurement of MPS captured exercise induced as well as basal rates, it is possible that increases in the latter contributed to the overall increase observed in our study. Interestingly, studies over the last decade have also shown that aging causes increased baseline mTORC1 activity in stem cells 50 , liver 51 and muscle 6,7 , and that inhibition of mTORC1 through rapamycin is able to reduce age-associated muscle loss and extend lifespan in model organisms [6][7][8]52 . Phosphorylation of the downstream targets of mTORC1, S6K1 and S6, is linked to a negative feedback loop that decreases IRS1 levels and insulin sensitivity 53 . This has caused the hypothesis that age-induced hyperactivity of mTORC1 plays a key role in the development of insulin resistance and diabetes, supported by data that showed that the absence of S6K1 improves insulin sensitivity and glucose homeostasis 54 . To this end, decreased insulin sensitivity in skeletal muscle is the main problem underlying type 2 diabetes 55 which in turn is closely associated with anabolic resistance and sarcopenia 56,57 . In line with this, we have recently confirmed that the age-induced increase in mTORC1 activity negatively feeds back on IRS1 levels resulting in decreased IRS1 protein levels and a shortened muscle protein synthesis response to resistance type exercise 14 . In humans, immediately after a single bout of resistance exercise insulin sensitivity decreases 58 , whereas following training insulin sensitivity increases concomitant with an increase in IRS1 levels 59 . In the current study, chronic stimulation decreased baseline S6K activity, IRS1 levels tended to increase along with total Akt and myofibrillar protein synthesis in a muscle-specific manner (i.e. only in the exercised muscle). The increase in Akt could be important in the increase of MPS since blocking Akt phosphorylation is necessary to completely blunt the protein synthetic response to resistance exercise and significantly decreases basal skeletal muscle protein synthesis 60 .
A limitation of this study is the relatively short duration of the chronic training stimulus. It is possible that 14 days were insufficient to cause significant changes in myofiber size or muscle mass. However, it is important to keep in mind that by directly stimulating the sciatic nerve in our animal model, we are causing a contraction intensity that is beyond what could be achieved in wake men or rats. This, in addition to the already faster metabolism of rodents compared to men 61 , causes a more intense stimulus that is followed by an accelerated time course of adaptation. Previous studies by our laboratory found that 6-weeks of the same stimulation protocol led to a ~ 14% increase in muscle mass 3 . The more extreme method of synergist ablation causes increases of over 50% in muscle mass of rodents in just 9 days. Even in humans, a recent study has found that as little as four weeks of resistance exercise are sufficient to detect changes in muscle mass 62 . Therefore, we believe that the time frame was sufficient to detect at least tendencies in our animal model. The fact that we did not see such tendencies indicates that the adaptive response to eccentric exercise in respect to the molecular signature as well as MPS are largely independent and timely dissociated from phenotypical changes to size. Another potential reason for the absence of muscle growth in our model could be that we restricted energy intake to keep our animals relatively weight stable. The absence of a calorie surplus that usually occurs in laboratory animals on an ad libitum diet 63 , www.nature.com/scientificreports/ may have decreased their ability to add de novo muscle tissue to their body. However, the role of total energy availability for skeletal muscle growth in response to resistance exercise is not very well understood and a benefit for increased energy intake has yet to be supported by direct evidence 64 . Taken together, the collective reports in the literature and the data from this current study suggest that to maintain muscle mass with aging and for muscle to adapt to exercise stimuli, perpetual mTORC1 activity is undesirable. Instead, high degrees of activation of mTORC1 in the early phase following exercise facilitate acute increases in protein synthesis and muscle remodeling, which is followed by the downregulation of mTORC1 signaling components in a more chronic setting. This decrease in mTORC1 is accompanied by a concomitant upregulation of IRS1/Akt that leads to greater insulin sensitivity and nutrient sensing, resulting in elevated muscle protein turnover rates in exercise-adapted muscle.